Organization
MEDICO INVESTMENT, LLC
Active
Other names
Foremost Senior Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIRUPAMA VANGALA (LICENSEE)
(760) 244-5579
Entity
Organization
Contact information
Practice address
17581 SULTANA ST, HESPERIA, CA 92345-6552
(760) 244-5579
Mailing address
17581 SULTANA ST, HESPERIA, CA 92345-6552
(760) 244-5579
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
366425834
CA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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